Individual provider · Type 1 NPI

Erica Lankenau, PA

Surgical Physician Assistant · Farmington, NM

NPI number 1891150108 Active

Practice location

630 W Maple St
Farmington, NM 87401-6113

Call (505) 609-6300 Map

Fax (505) 609-6301

Mailing address

PO Box 6210
Farmington, NM 87499-6210

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X1130229 (NM)
Surgical Physician Assistant Primary 363AS0400XPA2015-0082 (NM)

Surgical Physician Assistant: Definition to come...

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About NPI 1891150108

Erica Lankenau, PA's National Provider Identifier is 1891150108, issued on Dec 31, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Farmington, NM. The record was last updated on Jul 20, 2016.